| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
26,021 |
18,897 |
$2.82M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,206 |
7,311 |
$2.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,353 |
5,057 |
$1.74M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,734 |
6,596 |
$840K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,595 |
2,334 |
$522K |